PN VATI MENTAL HEALTH EXAM LATEST EXAM 2025
( QUESTIONS AND WELL DETAILED ANSWERS) |
LATEST VERSION 2025/2026
An ______ is an unexpected response to ECT. During the procedure, the client's heart
can be stressed, which can cause cardiac abnormalities. especially if the client already
has impaired cardiac function. The nurse should document this finding and notify the
charge nurse or the client's provider. -CORRECT ANSWER Irregular heart rhythm.
Clients who have alcohol use disorder are at risk for the development of abstinence
syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr after the client has
last consumed alcohol and can include tachycardia, hypertension, and an elevated
temperature. Therefore, the first action the nurse should take when using the airway,
breathing, circulation (ABC) approach to client care is to check the client's _______to
monitor for signs of abstinence syndrome. -CORRECT ANSWER vital signs
The nurse should reinforce to the client's child that _______is a common adverse effect
of ECT. -CORRECT ANSWER short term memory loss
The priority action the nurse should take when using Maslow's hierarchy of needs is to
meet the client's physiological need for food and fluids. The priority nursing action is to
frequently. Offer the client ______ to prevent dehydration and ensure the client's caloric
is adequate to meet intake physical needs for a client who is in the manic phase of
bipolar disorder. -CORRECT ANSWER high calorie fluids
The nurse should instruct the client that______ can indicate hepatoxicity or pancreatitis,
both adverse effects of valproic acid; therefore, the client should report this to the
provider. -CORRECT ANSWER abdominal pain.
A nurse is establishing a therapeutic relationship with a client who has generalized
anxiety disorder. Which of the following actions should the nurse take first? -CORRECT
ANSWER Explain confidentiality guidelines to the client.
Evidence-based practice indicates that the nurse should first begin a therapeutic
relationship with the orientation phase. During this phase, the nurse should explain the
guidelines for confidentiality. This initial step in developing a therapeutic relationship
builds trust between the client and the nurse.
A nurse is interviewing an adolescent client who reports that they were sexually
assaulted. Which of the following actions should the nurse take? -CORRECT ANSWER
Move the client to a private examination room to perform the interview.
,The nurse should interview the client in a private room without others present. Providing
privacy in a safe environment will foster trust and promote open communication
between the client and the nurse.
A nurse is caring for a client who is experiencing a severe panic attack. Which of the
following actions should the nurse take during the panic attack? (Select all that apply.) -
CORRECT ANSWER Stay with the client is correct. The nurse should stay with the
client during the panic attack to ensure that the client remains safe and reduce feelings
of abandonment.
Instruct the client to take slow, deep breaths is correct. The nurse should instruct the
client to breathe slowly and deeply to distract from the distressing manifestations of the
attack and reduce the risk for hyperventilation.
Set physical limits is correct. The nurse should set physical limits to maintain the safety
of the client and others because the client might have difficulty controlling their actions
during the attack.
The nurse should identify that an x-ray indicating a fracture can be an expected finding
for a child who fell out of a tree. However, a ______ is caused by twisting of the
extremity and can be an indication of physical maltreatment. The nurse should report
the findings to the registered nurse. -CORRECT ANSWER spiral fracture
A nurse is reinforcing discharge teaching with the family of a client who has mild
dementia. The family plans to care for the client in their home. Which of the following
instructions should the nurse include? -CORRECT ANSWER Use signs to identify
different rooms in the home.
The nurse should reinforce the need to label the bathroom as well as other rooms in the
home. The use of signs using words and pictures promotes independence and
orientation by providing reminders for the client.
A nurse is reinforcing teaching with a client who is preparing for a conditional release
following involuntary admission. Which of the following statements by the client
indicates an understanding of the teaching? -CORRECT ANSWER "IF I don't follow the
instructions in my conditional release, I might be readmitted."
A client who is being discharged on a conditional release following involuntary
admission must adhere to additional treatment plan requirements after discharge. If the
client does not follow this treatment plan, they might be readmitted to the mental health
facility.
A client who is in this stage of Alzheimer's disease has difficulty with or is unable to
perform self-care. The nurse should assign an___to assist with the client's personal
hygiene. -CORRECT ANSWER AP
, A nurse is reinforcing teaching regarding family therapy with the parents of a client who
has anorexia nervosa. The parents tell the nurse, "We don't understand why we have to
have family therapy when we are not sick." Which of the following responses should the
nurse provide? -CORRECT ANSWER "Family therapy explores how the family
dynamics impact your son."
Clients who have anorexia nervosa often have troubled relationships with family
members, and family therapy can help to strengthen those relationships. Resolution of
the client's illness is unlikely to occur until family dynamics improve.
A nurse is collecting data from a client who received diazepam 10 mg PO 1 hr ago.
Which of the following findings should the nurse identify as an indication that the client
is experiencing benzodiazepine toxicity? -CORRECT ANSWER Respiratory rate 10/min
The nurse should identify that a respiratory rate of 10/min is below the expected
reference range of 12 to 20/min, indicating bradypnea. Benzodiazepine toxicity causes
CNS depression and can lead to coma and death.
Name 3 adverse effects of Fluphenazine: -CORRECT ANSWER Akathisia is correct.
Akathisia, or restlessness, is an adverse effect of fluphenazine. Akathisia is one of
several extrapyramidal side effects (EPS) that occur with fluphenazine. Other EPS
include pseudoparkinsonism, akinesia, dystonia, and tardive dyskinesia.
Hypotension is correct. Orthostatic hypotension is an adverse effect of fluphenazine.
Drowsiness is correct. Drowsiness is an adverse effect of fluphenazine.
The nurse should include that a diagnosis of______ is a risk factor for anorexia
nervosa. Other factors that can predispose a client to developing anorexia nervosa
include alterations in serotonin levels and a desire for perfection. -CORRECT ANSWER
OCD
A nurse is contributing to the plan of care for a client who has anorexia nervosa and is
60% of their ideal body weight (IBW). Which of the following interventions should the
nurse include? -CORRECT ANSWER Set structured mealtimes for the client.
The nurse should provide a structured environment for the client, including setting
specific mealtimes. This allows the client to learn and adapt to a more regular eating
pattern.
A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the ethical concept of veracity? -CORRECT ANSWER Informing a client
about the adverse effects of a prescribed treatment This action demonstrates the ethical
concept of veracity.
( QUESTIONS AND WELL DETAILED ANSWERS) |
LATEST VERSION 2025/2026
An ______ is an unexpected response to ECT. During the procedure, the client's heart
can be stressed, which can cause cardiac abnormalities. especially if the client already
has impaired cardiac function. The nurse should document this finding and notify the
charge nurse or the client's provider. -CORRECT ANSWER Irregular heart rhythm.
Clients who have alcohol use disorder are at risk for the development of abstinence
syndrome. Manifestations of abstinence syndrome occur 12 to 72 hr after the client has
last consumed alcohol and can include tachycardia, hypertension, and an elevated
temperature. Therefore, the first action the nurse should take when using the airway,
breathing, circulation (ABC) approach to client care is to check the client's _______to
monitor for signs of abstinence syndrome. -CORRECT ANSWER vital signs
The nurse should reinforce to the client's child that _______is a common adverse effect
of ECT. -CORRECT ANSWER short term memory loss
The priority action the nurse should take when using Maslow's hierarchy of needs is to
meet the client's physiological need for food and fluids. The priority nursing action is to
frequently. Offer the client ______ to prevent dehydration and ensure the client's caloric
is adequate to meet intake physical needs for a client who is in the manic phase of
bipolar disorder. -CORRECT ANSWER high calorie fluids
The nurse should instruct the client that______ can indicate hepatoxicity or pancreatitis,
both adverse effects of valproic acid; therefore, the client should report this to the
provider. -CORRECT ANSWER abdominal pain.
A nurse is establishing a therapeutic relationship with a client who has generalized
anxiety disorder. Which of the following actions should the nurse take first? -CORRECT
ANSWER Explain confidentiality guidelines to the client.
Evidence-based practice indicates that the nurse should first begin a therapeutic
relationship with the orientation phase. During this phase, the nurse should explain the
guidelines for confidentiality. This initial step in developing a therapeutic relationship
builds trust between the client and the nurse.
A nurse is interviewing an adolescent client who reports that they were sexually
assaulted. Which of the following actions should the nurse take? -CORRECT ANSWER
Move the client to a private examination room to perform the interview.
,The nurse should interview the client in a private room without others present. Providing
privacy in a safe environment will foster trust and promote open communication
between the client and the nurse.
A nurse is caring for a client who is experiencing a severe panic attack. Which of the
following actions should the nurse take during the panic attack? (Select all that apply.) -
CORRECT ANSWER Stay with the client is correct. The nurse should stay with the
client during the panic attack to ensure that the client remains safe and reduce feelings
of abandonment.
Instruct the client to take slow, deep breaths is correct. The nurse should instruct the
client to breathe slowly and deeply to distract from the distressing manifestations of the
attack and reduce the risk for hyperventilation.
Set physical limits is correct. The nurse should set physical limits to maintain the safety
of the client and others because the client might have difficulty controlling their actions
during the attack.
The nurse should identify that an x-ray indicating a fracture can be an expected finding
for a child who fell out of a tree. However, a ______ is caused by twisting of the
extremity and can be an indication of physical maltreatment. The nurse should report
the findings to the registered nurse. -CORRECT ANSWER spiral fracture
A nurse is reinforcing discharge teaching with the family of a client who has mild
dementia. The family plans to care for the client in their home. Which of the following
instructions should the nurse include? -CORRECT ANSWER Use signs to identify
different rooms in the home.
The nurse should reinforce the need to label the bathroom as well as other rooms in the
home. The use of signs using words and pictures promotes independence and
orientation by providing reminders for the client.
A nurse is reinforcing teaching with a client who is preparing for a conditional release
following involuntary admission. Which of the following statements by the client
indicates an understanding of the teaching? -CORRECT ANSWER "IF I don't follow the
instructions in my conditional release, I might be readmitted."
A client who is being discharged on a conditional release following involuntary
admission must adhere to additional treatment plan requirements after discharge. If the
client does not follow this treatment plan, they might be readmitted to the mental health
facility.
A client who is in this stage of Alzheimer's disease has difficulty with or is unable to
perform self-care. The nurse should assign an___to assist with the client's personal
hygiene. -CORRECT ANSWER AP
, A nurse is reinforcing teaching regarding family therapy with the parents of a client who
has anorexia nervosa. The parents tell the nurse, "We don't understand why we have to
have family therapy when we are not sick." Which of the following responses should the
nurse provide? -CORRECT ANSWER "Family therapy explores how the family
dynamics impact your son."
Clients who have anorexia nervosa often have troubled relationships with family
members, and family therapy can help to strengthen those relationships. Resolution of
the client's illness is unlikely to occur until family dynamics improve.
A nurse is collecting data from a client who received diazepam 10 mg PO 1 hr ago.
Which of the following findings should the nurse identify as an indication that the client
is experiencing benzodiazepine toxicity? -CORRECT ANSWER Respiratory rate 10/min
The nurse should identify that a respiratory rate of 10/min is below the expected
reference range of 12 to 20/min, indicating bradypnea. Benzodiazepine toxicity causes
CNS depression and can lead to coma and death.
Name 3 adverse effects of Fluphenazine: -CORRECT ANSWER Akathisia is correct.
Akathisia, or restlessness, is an adverse effect of fluphenazine. Akathisia is one of
several extrapyramidal side effects (EPS) that occur with fluphenazine. Other EPS
include pseudoparkinsonism, akinesia, dystonia, and tardive dyskinesia.
Hypotension is correct. Orthostatic hypotension is an adverse effect of fluphenazine.
Drowsiness is correct. Drowsiness is an adverse effect of fluphenazine.
The nurse should include that a diagnosis of______ is a risk factor for anorexia
nervosa. Other factors that can predispose a client to developing anorexia nervosa
include alterations in serotonin levels and a desire for perfection. -CORRECT ANSWER
OCD
A nurse is contributing to the plan of care for a client who has anorexia nervosa and is
60% of their ideal body weight (IBW). Which of the following interventions should the
nurse include? -CORRECT ANSWER Set structured mealtimes for the client.
The nurse should provide a structured environment for the client, including setting
specific mealtimes. This allows the client to learn and adapt to a more regular eating
pattern.
A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the ethical concept of veracity? -CORRECT ANSWER Informing a client
about the adverse effects of a prescribed treatment This action demonstrates the ethical
concept of veracity.
